Active NPI
Melanie D Pugh, DMD
- General Practice Dentistry
- Bonita Springs, FL
National Provider Identifier
1972631455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 16049
- Practice address
- 8800 Bernwood Pkwy
Suite 4
Bonita Springs, FL 34135-9527 - Phone
- (239) 949-1805
- Fax
- (239) 949-1821
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 16049 | FL | Primary |
Addresses
Primary practice location
8800 Bernwood Pkwy
Suite 4
Bonita Springs, FL 34135-9527
Mailing address
8800 Bernwood Pkwy
Suite 4
Bonita Springs, FL 34135-9527
Phone (239) 949-1805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 25, 2026 through Jun 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 16049 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972631455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 BERNWOOD PKWY",
"address_2": "SUITE 4",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341359527",
"telephone_number": "239-949-1805",
"fax_number": "239-949-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 BERNWOOD PKWY",
"address_2": "SUITE 4",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341359527",
"telephone_number": "239-949-1805",
"fax_number": "239-949-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "MELANIE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 16049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.